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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br />Appl, Recd,: Thursday Senator Building #225 85-633 <br /> 220 High St., N,E, 2nd Floor Permit NO,; <br /> <br /> Dottle Salem, Oregon 97301 <br />By; 588-5147 -- 588-5148 By: Patty <br />Date; 6/20/85 5:00 P.M. CODE-A-Phone ................ 8:00 A.M. Date: 6-28-85 <br /> <br /> Site evaluation & septic permit 377 <br />Type of Permit: .Tax Lot No · <br /> 20727 Highway 99~ NS City of Aurora 1~ 4 1W <br />Address: Sec.:~Twnshp,: ~Rge,; <br /> Meskers Nursery & Greer~ouse¢ 668-8847 ~uure~s <br />Owner: M~ Li~ Me~4cer~ Phone' s..W- 13725 SE Bluff Road <br /> ............ Sandy~ O~ ~gon 9?055 ' <br />Bldr. & No.:. ,Phone:., Address: <br /> <br />Plans by; .Phone: Address; <br /> MaPPage I Z°ne , Z°neChange3 EFU Part. J Cond. UaeI Variance/Adj, FT/FD Occupancy Type of Const <br /> <br />Lot No.: .... BIk, No,: ,,Sub, dy ' <br />Area of Bldg, 2nd Base- Total <br />Main Fir,: .Fir.: ...... merit: Area: <br /> <br />Roof Type: Truss/Stick: Height:. <br />Heating Wood Water . ~ <br />System: ._Stove; .Supply: ~/l~<f <br />Septic Tank New <br />Site Eval.: __ Jnstal.: <br />Exist. NO. <br />System: .Gals,: <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date; /~ .Date: <br />Septic Tank: J~.~ /~ Plans; <br />Date:__ <br /> <br />__LotSize: 9 1/2 Acr¢~ner?' <br /> <br />Valuation: <br />Bldg, Permit <br />Fee; (+ 5%) <br /> <br />Elect, Fee: <br /> <br />Mech. Fee:, <br /> <br />Plumb. Fee: <br />State <br />Surcharge: (4%) <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee; <br /> <br />140.00 site eval. <br /> <br />I~agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County, PERMIT EXPIRES IF WORK <br />*NO T COMMENCED WITHIN 180 DA YS, I further expressly warrant that I comply with <br />the provisions of ORS 701,005 to 701.125 because: <br /> <br />) I em performing work on a property I own <br /> or occupy <br />) I am a registered builder OR ( ) the <br />authorized repreaentafive of a <br />registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />DEQ Surcharge: <br /> <br />TOTAL FEE:_ <br />BLDG, <br />RECEIPT NO,: <br />Driveway <br />Permit Fee; <br />Site Plan <br />Review Fee; <br />Public Works <br />Receipt NO,: <br /> <br />15.00 site .val. <br /> <br />235°00 <br /> <br />REMARKS: <br /> <br />I have read this application in its entirety and.~e~rtify that the stated information iS true and correct to the best of my know/edge, <br /> <br />SIGNATURE OF APPLICANT; /" <br /> P /./_~--"~-- _.L:~ ..... <br /> LEASE NOTE: ~d-~Fc~Swalk inspection are required by Public Works; 588-5036 <br /> <br /> Other permits required by this dept.: Plumbing ~ Electrical B Mechanical ~ <br /> <br /> <br />